Social and behavior change communication

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SBCC by health practitioner Behavior Intervention by using Images.jpg
SBCC by health practitioner
SBCC on the Development-Entertainment spectrum. Development-Entertainment Continuum.png
SBCC on the Development-Entertainment spectrum.

Social and behavior change communication (SBCC), often also only "BCC" or "Communication for Development (C4D)" is an interactive process of any intervention with individuals, group or community (as integrated with an overall program) to develop communication strategies to promote positive behaviors which are appropriate to their settings and thereby solving the world's most pressing health problems. This in turn provides a supportive environment which will enable people to initiate, sustain and maintain positive and desirable behavior outcomes. [1]

Contents

SBCC is the strategic use of communication to promote positive health outcomes, based on proven theories and models of behavior change. SBCC employs a systematic process beginning with formative research and behavior analysis, followed by communication planning, implementation, and monitoring and evaluation. Audiences are carefully segmented, messages and materials are pre-tested, and mass media (which include radio, television, billboards, print material, internet), interpersonal channels (such as client-provider interaction, group presentations) and community mobilisation are used to achieve defined behavioral objectives. [2]

BCC should not be confused with behavior modification, a term with specific meaning in a clinical psychiatry setting. SBCC differentiates itself from social impact entertainment primarily through its "impact first", rather than "story first", approach.

Background

Providing people with information and teaching them how they should behave does not lead to desirable change in their response/behavior. However, when there is a supportive environment with information and communication (teaching) then there is a desirable change in the behavior of the target group. Thus, SBCC is proved to be an instructional intervention which has a close interface with education and communication. It is a strategic and group oriented form of communication to perceive a desired change in behavior of target group. [3]

However, it is not as easy as it sounds, as there is no one-size-fits all strategy for any intervention. Interventions are context specific. Therefore, there is a need for proper information management and sharing. It is advised to document and report the interventions that worked somewhere, for example, the kind of messages, the medium and the audience. [4]

Steps

SBCC is the comprehensive process in which one passes through the stages:

Unaware > Aware > Concerned > Knowledgeable > Motivated to change > Practicing trial behavior change

> Sustained behavior change

SBCC in classroom practices Behavior Change Communication.jpg
SBCC in classroom practices

It involves the following steps: [5]

  1. State program goals
  2. Involve stakeholders
  3. Identify target populations
  4. Conduct formative BCC assessments
  5. Segment target populations
  6. Define behavior change objectives
  7. Define SBCC strategy & monitoring and evaluation plan
  8. Develop communication products
  9. Pretest
  10. Implement and monitor
  11. Evaluate
  12. Analyze feedback and revise

Enabling factors

Behavior change is influenced by motivation from others (external influence) as well as from within oneself (internal influence). Internal influence plays a significant role in creating more enjoyment of a behavior change, instilling a sense of ownership of the new behavior, which in turn instills a sense of ownership of the changed behavior. [6] When designing SBCC strategies, enabling factors that affect the outcome must be considered. The following are some of the factors: [5]

Theories

SBCC has several levels at which it can be implemented. Each level includes several theories. Each level (and each theory) employs specific communication channels.

Individual level
Community level
Change in organizations
Public policy Level
The SBCC Summit 2018 in Bali, Indonesia, focusing on social and behavior change communication and featuring Entertainment-Education. SBCC Summit in Bali 2018.jpg
The SBCC Summit 2018 in Bali, Indonesia, focusing on social and behavior change communication and featuring Entertainment-Education.
Over 1,200 attendees came to the 2018 SBCC Summit, where Entertainment-Education was a main topic among Social and Behavior Chance Communications professionals. SBCC Summit 2018 Crowd in Nusa Dua, Indonesia.jpg
Over 1,200 attendees came to the 2018 SBCC Summit, where Entertainment-Education was a main topic among Social and Behavior Chance Communications professionals.

Strategies

SBCC is different from the ordinary instructional method of communication and is target specific. A society consists of many sub-groups. The strategy for SBCC will vary from group to group. The following points are important while considering the SBCC strategy. [7]

There can be several more points in this list. A successful SBCC requires much research and meticulous planning about the knowledge content of the subject and behavior/attitude pattern of the target group. [1]

Social marketing has been described as a tool for sustainable behaviour change. [8]

Implications

SBCC has proven effective in several health areas, such as increasing the use of family planning methods, reducing the spread of malaria and other infectious diseases, and improving newborn and maternal health.

SBCC is an effective tool for dealing with many community and group related problems. BCC has been adapted as an effective strategy for community mobilization, health and environmental education and various public outreach programs. [9] Enhanced knowledge about the behavior change process has facilitated the design of communications programs to reduce the risk of HIV transmission and AIDS. A wide variety of health promotion strategies use communication as either an educational or norm-forming strategy. In addition, specific strategies must be designed for high-risk groups such as women, young people, injecting drug abusers, homosexuals and HIV positive groups. [7]

Role in HIV/AIDS

SBCC consists of effective communication which is central to the success of interventions to reduce the risk of HIV infection. It plays a role to: [7] [5]

See also

Related Research Articles

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Development communication refers to the use of communication to facilitate social development. Development communication engages stakeholders and policy makers, establishes conducive environments, assesses risks and opportunities and promotes information exchange to create positive social change via sustainable development. Development communication techniques include information dissemination and education, behavior change, social marketing, social mobilization, media advocacy, communication for social change, and community participation.

Behavior change, in context of public health, refers to efforts put in place to change people's personal habits and attitudes, to prevent disease. Behavior change in public health can take place at several levels and is known as social and behavior change (SBC). More and more, efforts focus on prevention of disease to save healthcare care costs. This is particularly important in low and middle income countries, where supply side health interventions have come under increased scrutiny because of the cost.

<span class="mw-page-title-main">Transtheoretical model</span> Integrative theory of therapy

The transtheoretical model of behavior change is an integrative theory of therapy that assesses an individual's readiness to act on a new healthier behavior, and provides strategies, or processes of change to guide the individual. The model is composed of constructs such as: stages of change, processes of change, levels of change, self-efficacy, and decisional balance.

Social marketing is a marketing approach which focuses on influencing behavior with the primary goal of achieving "common good." It utilizes the elements of commercial marketing and applies them to social concepts. However, to see social marketing as only the use of standard commercial marketing practices to achieve non-commercial goals is an oversimplified view. Social marketing has existed for some time, but has only started becoming a common term in recent decades. It was originally done using newspapers and billboards and has adapted to the modern world in many of the same ways commercial marketing has. The most common use of social marketing in today's society is through social media.

The social norms approach, or social norms marketing, is an environmental strategy gaining ground in health campaigns. While conducting research in the mid-1980s, two researchers, H.W. Perkins and A.D. Berkowitz, reported that students at a small U.S. college held exaggerated beliefs about the normal frequency and consumption habits of other students with regard to alcohol. These inflated perceptions have been found in many educational institutions, with varying populations and locations. Despite the fact that college drinking is at elevated levels, the perceived amount almost always exceeds actual behavior. The social norms approach has shown signs of countering misperceptions, however research on changes in behavior resulting from changed perceptions varies between mixed to conclusively nonexistent.

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<span class="mw-page-title-main">Communities That Care</span>

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The PRECEDE–PROCEED model is a cost–benefit evaluation framework proposed in 1974 by Lawrence W. Green that can help health program planners, policy makers and other evaluators, analyze situations and design health programs efficiently. It provides a comprehensive structure for assessing health and quality of life needs, and for designing, implementing and evaluating health promotion and other public health programs to meet those needs. One purpose and guiding principle of the PRECEDE–PROCEED model is to direct initial attention to outcomes, rather than inputs. It guides planners through a process that starts with desired outcomes and then works backwards in the causal chain to identify a mix of strategies for achieving those objectives. A fundamental assumption of the model is the active participation of its intended audience — that is, that the participants ("consumers") will take an active part in defining their own problems, establishing their goals and developing their solutions.

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  1. It developed a generic, abstract vocabulary that facilitated discussion of the active ingredients of an intervention
  2. It emphasized the distinction between behavior change methods and practical applications of these methods
  3. It included the concept of 'parameters for effectiveness', important conditions for effectiveness often neglected
  4. It drew attention to the fact that behavior change methods influence specific determinants.
<span class="mw-page-title-main">India HIV/AIDS Alliance</span> Indian non-governmental organisation

Founded in 1999, Alliance India is a non-governmental organisation operating in partnership with civil society, government and communities to support sustained responses to HIV in India that protect rights and improve health. Complementing the Indian national programme, we build capacity, provide technical support and advocate to strengthen the delivery of effective, innovative, community-based HIV programmes to vulnerable populations: sex workers, men who have sex with men (MSM), transgender people, hijras, people who inject drugs (PWID), and people living with HIV.

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<span class="mw-page-title-main">Behavioural design</span> Field of design concerned with the influence of design on behavior

Behavioural design is a sub-category of design, which is concerned with how design can shape, or be used to influence human behaviour. All approaches of design for behaviour change acknowledge that artifacts have an important influence on human behaviour and/or behavioural decisions. They strongly draw on theories of behavioural change, including the division into personal, behavioural, and environmental characteristics as drivers for behaviour change. Areas in which design for behaviour change has been most commonly applied include health and wellbeing, sustainability, safety and social context, as well as crime prevention.

The Transgender HIV/Aids Prevention Program was launched by The Department of Family Practice and The Community Health Medical School at the University of Minnesota in 1992. The program targeted the local transgender community. It was estimated that in 1992 up to 17,000 people were HIV-antibody positive in the state of Minnesota. The organizers realized that there was a lack of knowledge and attitudinal barriers towards HIV prevention among transvestites and transsexuals. This knowledge deficit among the transgender community coupled with the steadily increasing number of people affected with HIV/AIDS at the time catalyzed the formation of the Transgender HIV Aids Prevention Program at the University of Minnesota.

A Behavioral Change Support System (BCSS) is any information and communications technology (ICT) tool, web platform, or gamified environment which targets behavioral changes in its end-users. BCSS are built upon persuasive systems design techniques.

References

  1. 1 2 "COMMUNICATION/BEHAVIOR CHANGE TOOLS" (PDF). Entertainment-Education. United Nations Population Funds. 1: 1–6. January 2002.
  2. "Behavior Change Communication — MEASURE Evaluation". www.measureevaluation.org. Retrieved 2017-03-23.
  3. "A Tool Box for Building Health Communication Capacity". Archived from the original on 4 February 2010. Retrieved 29 April 2010.
  4. Davidson; et al. (2003). "Evidence-based behaviour change medicine: what is it and how do we achieve it?". Annals of Behavioral Medicine. 26 (3): 161–171. doi:10.1207/S15324796ABM2603_01. PMID   14644692. S2CID   3669786.
  5. 1 2 3 "Behavior Change Communication (BCC) for HIV/AIDS: a strategic framework" (PDF). Family Health International (FHI). September 2002.
  6. Osbaldiston, R; Sheldon, K (2002). Schmuck, A; Schultz, W (eds.). "Social dilemmas and sustainable development: Promoting the motivation to cooperate with the future". Psychology of Sustainability. Boston: Kluwer: 37–57. doi:10.1007/978-1-4615-0995-0_3.
  7. 1 2 3 Aggleton, P. (April 1997). "Behavior change communication strategies". AIDS Educ. Prev. 9 (2): 111–23. PMID   9167797.
  8. Merritt, Rowena; Truss, Aiden; Hopwood, Toby (17 March 2011). "Social marketing can help achieve sustainable behaviour change". The Guardian. Retrieved 11 June 2017.
  9. Woods N., Lisa (2006). BEHAVIOUR CHANGE COMMUNICATION IN EMERGENCIES: A TOOLKIT (PDF). Nepal: United Nations Children’s Fund. p. 246. ISBN   99946-896-1-4.